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Iowa rates for HCPCS 31225

Maxillectomy W/O Orbital Exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,277.00 / $5,549.00 / $11,100.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,644.51 / $2,467.00 / $4,517.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,559.41 / $4,156.57 / $6,608.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,835.31 / $3,935.21 / $5,513.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,126.00 / $5,847.00 / $7,305.00